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§ 25.5-5-401. Short Title - This part 4 shall be known and may be cited...
§ 25.5-5-402. Statewide Managed Care System - Definition - Rules - Source: L. 2006: Entire article added with relocations, p. 1883,...
§ 25.5-5-403. Definitions - As used in this part 4, unless the context otherwise...
§ 25.5-5-406.1. Required Features of Statewide Managed Care System - (B) An enrollee is entitled to designate a representative, including...
§ 25.5-5-408. Capitation Payments - Availability of Base Data - Adjustments - Rate Calculation - Capitation Payment Proposal - Preference - Assignment of Medicaid Recipients - Definition - Source: L. 2006: Entire article added with relocations, p. 1893,...
§ 25.5-5-410. Data Collection for Managed Care Programs - Source: L. 2006: Entire article added with relocations, p. 1896,...
§ 25.5-5-412. Program of All-Inclusive Care for the Elderly - Services - Eligibility - Legislative Declaration - Rules - Definitions - (6) [ Editor's note: This version of the introductory portion...
§ 25.5-5-414. Telemedicine - Legislative Intent - Source: L. 2006: Entire article added with relocations, p. 1903,...
§ 25.5-5-415. Medicaid Payment Reform and Innovation Pilot Program - Legislative Declaration - Creation - Selection of Payment Projects - Report - Rules - (I) On or before February 1, 2013, concerning the design...
§ 25.5-5-418. Primary Care Provider Sustainability Fund - Creation - Use of Fund - The primary care provider sustainability fund is hereby created in...
§ 25.5-5-419. Accountable Care Collaborative - Reporting - Rules - Source: L. 2017: Entire section added, (HB 17-1353), ch. 231,...
§ 25.5-5-420. Advancing Care for Exceptional Kids - Within one hundred twenty days of the enactment of the...
§ 25.5-5-421. Parity Reporting - State Department - Public Input - Source: L. 2019: Entire section added, (HB 19-1269), ch. 195,...
§ 25.5-5-422. Medication-Assisted Treatment - Limitations on Mces - Definition - Source: L. 2019: Entire section added, (HB 19-1269), ch. 195,...
§ 25.5-5-423. Independent Review Organization - Review Denial of Residential and Inpatient Substance Use Disorder Treatment Claims - Contract - No later than July 1, 2023, the state department shall...
§ 25.5-5-424. Residential and Inpatient Substance Use Disorder Treatment - Mce Standardized Utilization Management Process - Medical Necessity - Report - Source: L. 2021: Entire section added, (SB 21-137), ch. 362,...
§ 25.5-5-425. Audit of Mce Denials for Residential and Inpatient Substance Use Disorder Treatment Authorization - Report - Source: L. 2021: Entire section added, (SB 21-137), ch. 362,...